Arvin Post Acute

In the surveyor’s words

From the most serious findings on record at Arvin Post Acute, in the surveyor’s own words.

• Immediate jeopardy, widespreadF812Dec 19, 2024

  Based on observation, interview, and record review, the facility failed to maintain a sanitary condition in the kitchen with known infestation of cockroaches as evidenced by: 1. On 12/17/24 and 12/18/24 observed live cockroaches in the kitchen identified as German Cockroaches by the pest control service technician. 2. The kitchen staff do not clean and sanitize the kitchen counters prior to food preparation with known cockroach infestation. This involved nocturnal behavior of cockroaches which are highly likely to be contaminating food contact surfaces during the night. 3. In addition, cockroaches carry germs that can contaminate and had the potential to lead to foodborne illness for highly susceptible residents receiving food from the kitchen. 4. […]

• Actual harm, isolatedF684Jan 22, 2026

  Based on interview and record review, the facility failed to send one of three sampled residents (Resident 1) to the hospital promptly for evaluation and treatment of a left leg injury after Resident 1 reported she had injured her left leg and requested to be taken out to the hospital for X-rays (medical imaging to visualize the inside of the body, particularly bones and dense tissues) and treatment, delayed for six days until Resident 1 was taken to the hospital for evaluation and treatment for the left leg fracture (broken bone). […]

• Actual harm, isolatedF600Jan 4, 2023

  Based on interview and record review, the facility failed to ensure one of one sampled residents (Resident 1) was free from sexual abuse. This resulted in Resident 1 being the victim of sexual assault from Resident 2. Findings: During an interview on 11/8/22, at 10:55 AM, with Certified Nursing Assistant (CNA) 1, CNA 1 stated, that on 11/1/22, she saw Resident 1 sitting in wheelchair in the Activity Room with her hands folded together front of her on her lap, and Resident 2 was lifting Resident 1's shirt up and was putting Resident 1's breast in his mouth. CNA 1 stated this happened between 3:30 PM and 4 PM. CNA 1 stated, Resident 1 was in her wheelchair and Resident 2 was in his wheelchair. […]

• Actual harm, isolatedF600Oct 6, 2021

  Based on observation, interview, and record review, the facility failed to protect one of one sampled residents (Resident 1) from physical abuse when Resident 9 struck Resident 1 in the face with a soup can. This failure resulted in Resident 1 experiencing a broken bone, lacerations (cuts in the skin) to his face and hand, and pain. Findings: During a review of a letter sent to the Department, dated 6/17/21, the letter indicated there was a Resident to resident altercation, on 6/15/21, at approximately 9 AM. The letter indicated that on 6/15/21, at approximately 9 AM, Resident 1 entered Resident 9's room by mistake. Resident 9 yelled at Resident 1 to get out, and when he did not, Resident 9 hit Resident 1 in the face with a soup can. […]

• Actual harm, isolatedF692Jun 24, 2021

  Based on observation, interview, and record review, the facility failed to provide adequate nutrition for one of 44 sampled residents (Resident 44) when: 1. The nursing staff did not notify the Primary Care Physician (PCP) and the Family Member (FM) 2 of Resident 44's unplanned weight loss. 2. A care plan addressing unplanned weight loss was not developed and implemented. 3. Ensure the Interdisciplinary Team (IDT - a group of healthcare professionals who work together to provide beneficial care to the residents) addressed the significant weight loss. 4. Dietary recommendations by the Registered Dietician (RD) were not implemented. These failures resulted in Resident 44's unplanned total weight loss of 39 lbs (Pounds-unit of measure) (-15.4%) in 45 days. Findings: 1. […]